| NPI | 1134189335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CASARICO CEO 802-863-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MA 0805475) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-12-28 |